Provider Demographics
NPI:1760862247
Name:HEALTHCARE SPECIALTY TRANSACTIONS, LLC
Entity Type:Organization
Organization Name:HEALTHCARE SPECIALTY TRANSACTIONS, LLC
Other - Org Name:HST PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF PHARMACY OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-662-0586
Mailing Address - Street 1:1267 PROFESSIONAL PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30507-8705
Mailing Address - Country:US
Mailing Address - Phone:844-375-3003
Mailing Address - Fax:844-375-3004
Practice Address - Street 1:1267 PROFESSIONAL PKWY STE 200
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30507-8705
Practice Address - Country:US
Practice Address - Phone:844-375-3003
Practice Address - Fax:844-375-3004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-01
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHRE0101523336C0003X
3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2152209OtherPK